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Patient Financial Services Weekly Advisor
Looking to improve your facility's bottom line and more effectively manage your patient financial services department? Get this free weekly e-mail that provides tips, advice and real-world strategies.
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Patient Financial Services Weekly Advisor
Issue 102, December 26, 2008
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CMS launches annual provider satisfaction survey
Check out the press release from CMS about the launch of its annual survey of providers&rsquo... -
Bank VP gets three years in jail for Medicare fraud
A federal judge sentenced a former assistant vice president at Wachovia Bank to three years in... -
Download these Revenue Cycle Institute white papers
The Revenue Cycle Institute announces new and updated white papers available for download. In... -
Thorough review recommended on ABNs
The following are tips for adjusting to the new ABN instructions, provided by Judith L. Kares, JD...
Issue 101, December 19, 2008
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Be part of RAC defense on front end
Patient access departments play an important role on your facility's Recovery Audit Contractors... -
Download these Revenue Cycle Institute white papers
The Revenue Cycle Institute announces new and updated white papers available for download. -
Docs to get a perk by e-prescribing
CMS note to docs: start prescribing drugs electronically. There will be financial incentive.
Issue 100, December 12, 2008
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OIG issues fiscal year (FY) 2007 annual report for the Health Care Fraud and Abuse Control Program
On December 2, the OIG released the FY 2007 annual report for the Health Care Fraud and Abuse... -
Calling all experts: Send us your audio ideas
Got an audio idea for your revenue cycle department? We want to hear about it. -
Insurers' profits surpass predictions
Health insurance companies for Medicare made out in 2006 -- more than a $1 billion than expected.
Issue 99, December 5, 2008
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OIG issues report on high-dollar outpatient claims for Alabama
The OIG found that this company overpaid hospitals in Alabama $355,000 from 2004-2006. -
OIG issues report on high-dollar payments for Maryland and District of Columbia
The OIG found that this company overpaid $54,000 for the five high-dollar payments it made during... -
Providers complain about late Medicare payments
These days, receiving your payment on time can mean the difference between a good or bad month for...
Issue 98, November 21, 2008
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Changes to deductibles, coinsurance rates
CMS made changes the deductible, coinsurance and premium rates for 2009. -
OIG issues report on allowable Medicare capital disproportionate share hospital (DSH) payments
The OIG found that a number of rural hospitals and hospitals with fewer than 100 beds claimed DSH... -
Universal healthcare model inching closer?
Is this the first step toward a universal healthcare model for Americans?
Issue 97, November 14, 2008
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Coding system changes anticipated
The Centers for Medicare and Medicaid Services (CMS) is expected to soon alter the coding system... -
Be prepared for ABN changes
More than a year after several rounds of review on proposed revisions to existing Advance... -
Download a free white paper on the new ABN
Click here to download a free copy of our white paper, The new ABN: Specifics to ensure your team...
Issue 96, November 7, 2008
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CMS delays RAC permanent program
CMS announced it has delayed the Medicare Recovery Audit Contractor (RAC) permanent program and put... -
Changes for Medicare drug program
Older patients may pay more for drugs and copayments under their Medicare drug-plan premiums next... -
The OIG findings and recommendation
CMS’ limited actions in terms of security rule implementation have “not provided...
Issue 95, October 31, 2008
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Key differences in nationwide RAC rollout
Now that you know which Medicare Recovery Audit Contractor (RAC) will come to your facility... -
MA doctors wanting bonuses required to use e-prescriptions by 2011
Blue Cross Blue Shield of Massachusetts is making doctors go to the computer if they want extra... -
Download a free white paper on MS-DRGs!
Click here to download a free copy of our white paper, MS-DRGs: A guide to optimizing new...
Issue 94, October 24, 2008
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Medicaid spending to exceed general economy growth rate
According to CMS’ annual report released October 17, Medicaid spending is expected to... -
Download a free white paper on the new ABN
Click here to download a free copy of our white paper, The new ABN: Specifics to ensure your team... -
2008 HIGHLIGHTS: Sharing their success with us
We asked some patient access and revenue cycle managers to share their accomplishments with us for...
Issue 93, October 17, 2008
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RAC UPDATE: Contingency fees announced
CMS announced the new Medicare Recovery Audit Contractors (RACs) for its permanent, nationwide... -
NEWS: Number of immigrants in emergency rooms on the rise
Many hospitals in New York, New Jersey, and Connecticut are struggling to compensate for the cost... -
TAKE OUR SURVEY: Registration accuracy: How your peers measure up
Want to know how your peers do with their registration accuracy rates? Want to know if their...
Issue 92, October 10, 2008
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Doctors not prepared to counsel on patient finance
A new survey reveals that most doctors are inadequately prepared to counsel patients on the newer... -
New ER program aims to reduce wait times
In an effort to reduce ED wait times, a new program will redirect patients who use ERs for... -
Q&A: Billing a visit code
Learn the answer from CMS.
Issue 91, October 3, 2008
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Increase in Medicaid costs for long-term care expected
Federal spending on long-term healthcare under the Medicaid program is expected to swell in the... -
No rise in Medicare drug premiums for most enrollees in 2009
Of the 10.5 million enrollees in Medicare’s prescription drug plans, 97% will not see a rise... -
CMS publishes new numbers on RAC demonstration project
The percentage of successful provider appeals on RAC overpayments increased from 4.6% to 6.8% in a...
Issue 90, September 26, 2008
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Consumer healthcare spending down along with economy
Americans are choosing to cut back on healthcare spending as one way to deal with the slumping... -
MSP and RACs
Though CMS officially terminated the Medicare Recovery Audit Contractor Medicare Secondary Payer... -
Q&A: RAC Review
Learn the answer from CMS.
Issue 89, September 19, 2008
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New York hospital settles overbilling charges
Staten Island University Hospital has agreed to return $88.9 million that prosecutors say it... -
Economists critique candidates' proposed health plans
Healthcare economists recently critiqued the plans of the two presidential candidates, and revealed... -
Download a free white paper on ED revenue cycle management
Download a free white paper on ED revenue cycle management -
Q&A: Claim submitted without insurer information
Learn the answer from CMS.
Issue 88, September 12, 2008
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Special care teams beneficial for patients and hospitals' costs
A new medical specialty that focuses on meeting the needs of seriously ill patients may save the... -
More people need help with bills
Americans are not getting any richer. And hospitals continue to realize it. -
Download a free white paper on RACs
Click here to download a free copy of our white paper, RACs: Strategies to prepare for Recovery... -
Q&A: ABN issuance
Learn the answer from CMS.
Issue 87, September 5, 2008
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Florida Health Care sold to Blue Cross for $85M
Blue Cross Blue Shield of Florida is buying Florida Health Care Plan Inc. for $85 million, Orlando... -
Authorities recover $9.3 billion from healthcare providers
An analysis of Justice Department records shows that private citizens assisted authorities in... -
Q&A: National Provider Identifier (NPI) general information
Learn the answer from CMS.
Issue 86, August 29, 2008
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News: New ABN forms not mandatory until March 2009
You have more time to teach your patient access staff members about the revised Advance Beneficiary... -
Census bureau reports greater numbers of insured Americans
The number of people without health insurance fell in 2007, largely because of increased health... -
Q & A: Separately-payable therapy services
Learn the answer from CMS.
Issue 85, August 22, 2008
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Report refutes Medicare claim of reduced fraud
In 2006, Medicare officials stated that they had reduced the number of fraudulent and improper... -
Survey shows rising popularity of consumer-driven insurance plans
United Benefit Advisors Inc., an employee benefit advisory company, released survey results...
Issue 84, August 15, 2008
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Health insurer offering new medical payment option
Patients having trouble with rising healthcare costs have a new payment option in the form of a... -
Study reveals safety-net hospital challenges
A study published in the August 12 online edition of Health Affairs shows that safety-net hospitals... -
Survey: Charity Care
We need your help to be sure we provide the information you need in the most useful format. Please... -
Q&A: CPT code 99291
Learn the answer from CMS.
Issue 83, August 8, 2008
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Illinois governor revises bills to benefit state's uninsured
The governor of Illinois, Rod Blagojevich, announced Wednesday he will revise a bill to allow... -
Urgent-care clinics offer ED alternative
Walk-in urgent-care clinics are seeing a growing number of patients in need of emergency care, the... -
Q&A: ED billing for Inpatient Psychiatric Facility patient
Learn the answer from CMS.
Issue 82, August 1, 2008
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News: State program for uninsured failing to launch
Conneticut’s program for uninsured adults is struggling to get off the ground, the Hartford... -
News: Minnesota residents to have online health records access by 2011
Minnesota governor Tim Pawlenty announced Tuesday that he plans to give all state residents access... -
Tip: Schedule monthly meetings with patient access team
With 300 registrars at three acute-care hospitals in the CoxHealth system, it is not easy to point... -
Question for readers: Seeking advice regarding a revenue cycle issue
Below is a question from another reader: We have run into a situation with some of our...
Issue 81, July 25, 2008
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NEWS: Medicare to pay bonuses for e-prescribing
Beginning in 2009, doctors can earn additional money from Medicare if they use electronic... -
NEWS: Amerigroup nears settlement on Medicaid fraud damages
Illinois and federal authorities are close to settling a lawsuit with a former Illinois... -
Q&A: Self-pay patients
Learn the answer from the Patient Access Resource Center’s self-pay benchmarking survey. -
What's new on PARC this week?
Getting to know the MSP. To read a story that features important terms and definitions of the...
Issue 80, July 18, 2008
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NEWS: Congress overrides Bush veto on Medicare
Medicare is not off the hook yet. Congress overrode a presidential veto this week to... -
NEWS: Six of 10 RACs in New York overturned on appeal
Nearly 60% of Medicare’s Recovery Audit Contractor (RAC) determinations in New York State...
Issue 79, July 11, 2008
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Take our PARC salary survey!
As a patient access manager, you constantly balance the needs of your staff and the duties of the... -
Tell us your story, win a prize from PARC
At the Patient Access Resource Center (PARC), we often hear success stories from the revenue... -
Full report on 2009 OPPS proposed rule
CMS’ Outpatient Prospective Payment System (OPPS) proposed rule for fiscal year (FY) 2009... -
Are you prepared for Medicare’s RACs?
Want to know how prepared your peers are for Medicare’s Recovery Audit Contractors (RACs... -
NEWS: With nudge by Kennedy, Medicare bill passes
Massachusetts Sen. Edward M. Kennedy returned to the Capitol to help the Senate pass legislation...
Issue 78, July 4, 2008
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Take our PARC salary survey
As a patient access manager, you constantly balance the needs of your staff and the duties of the... -
NEWS: UnitedHealth cuts 4,000 jobs and 2008 outlook
UnitedHealth Group Inc. has announced a lower profit outlook, a restructuring that will trim 4,000... -
NEWS: California sues Prime Healthcare over balance-billing practice
California regulators have moved to stop Prime Healthcare Services Inc. from billing privately... -
Medicare supplement plan codes
Learn the answer from Boca Raton (FL) Community Hospital’s training assessment quiz. -
Thanks for visiting us!
The finance team at HCPro, Inc. would like to say “thank you” for stopping by our booth...
Issue 77, June 27, 2008
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Kennedy fights for Massachusetts Medicaid
Despite beginning treatment in his battle with brain cancer, Massachusetts Senator Edward M... -
Medicare pays, even if providers do not
Healthcare providers are allowed to collect millions of dollars in federal Medicare payments each... -
Q&A: Therapy and Part B
Learn the answer from CMS.
Issue 76, June 20, 2008
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HCPro at ANI conference
HCPro’s finance editorial team will be at HFMA’s 2008 ANI: The Healthcare Finance... -
BENCHMARKING REPORT: 2008 Recruitment and Retention report from PARC
As a patient access manager, recruitment and retention of quality staff is crucial. What is your... -
NEWS: Medical mistakes no longer billable in Massachusetts
Hospitals and doctors who make medical mistakes will no longer be able to bill the state of... -
NEWS: Coventry's announcment makes impact
Major insurers felt the impact of Coventry Health Care Inc.'s announcement it would reduce its... -
What’s new on PARC this week?
Check out our story featuring tips for registrars to remain HIPAA compliant. To view...
Issue 75, June 13, 2008
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What's new on PARC? BENCHMARKING REPORT: 2008 Recruitment and Retention report
As a patient access manager, recruitment and retention of quality staff is crucial. What is your... -
HCPro at ANI conference
HCPro’s finance editorial team will be at HFMA’s 2008 ANI: The Healthcare Finance... -
Millions of Americans still underinsured, study finds
U.S. residents who have health insurance but can't afford quality care continues to be a problem... -
New York Medicaid to deny payment for hospital errors
Beginning in October, New York hospitals won’t be able to bill Medicaid for "never...
Issue 74, June 6, 2008
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NEWS: CMS clarifies instructions regarding the attending/referring physician NPI for self referred mammograms
On May 30th CMS issued a transmittal clarifying and manualizing instructions to providers to use... -
NEWS: One way to collect debt - send it to auction
Hospitals have long searched for ways to collect debt from patients, especially from the uninsured... -
Q&A: HINN 11
Get the answer from our own Judith L. Kares, JD, CPC -
What’s new on PARC this week?
Check out our new HIPAA training tool for registration staff. To download the tool, click here.
Issue 73, May 30, 2008
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NEWS: Hartford Hospital refunds Medicare
Hartford (CT) Hospital has agreed to reimburse the federal Medicare program $788,960 to settle... -
NEWS: Newly insured outpace available doctors in Massachusetts
Healthcare reform in Massachusetts has increased the number of newly insured patients in the state... -
Q&A: Self-pay patients
Get the answer from our PARC benchmarking report. -
What’s new on PARC this week!
Find out the percentage of respondents who said in a PARC survey they have access representatives...
Issue 72, May 23, 2008
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NEWS: CMS corrects previous Change Request on billing replaced devices under the Inpatient Prospective Payment System (IPPS) that are received without cost or with a credit
On May 16, CMS issued a transmittal making corrections to a previous transmittal announcing billing... -
Take our short MSP survey and receive a Starbucks gift card!
Take our short MSP survey and receive a Starbucks gift card! -
NEWS: Bill sets stay in hospital for breast cancer
A congressional panel said it has bipartisan support for a bill requiring health insurers to pay... -
Q&A: Retention and recruitment in Patient Access
Learn the answer that is published in our June benchmarking report, Recruitment and Retention in... -
What’s new on PARC this week?
PAA names a new member to its advisory board.
Issue 71, May 16, 2008
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NEWS: Judge rules against Blue Cross of Michigan on rate hikes
An administrative law judge has ruled that Blue Cross Blue Shield of Michigan has not made the case... -
NEWS: Greenwich (CT) Hospital fined for overcharging Medicare program
Greenwich Hospital is the third Connecticut hospital in the last year fined by the U.S. Department... -
What's new on PARC this week!
In a much anticipated move, CMS released the new Advance Beneficiary Notice (ABN) of Noncoverage... -
Q&A: MSP Questionnaire
Learn the answer from Besler consultants.
Issue 70, May 9, 2008
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Q&A: NPI rejections
Learn the answer from CMS. -
NEWS: Identity thieves prey on patients' medical records
Identity thieves are using different methods to steal patient information from doctors&rsquo... -
NEWS: Medicare bid process drawing flak
Medicare is drawing complaints about a system of competitive bidding it will begin using this... -
What’s new on PARC this week!
The following is an actual form the Albany Medical Center’s patient access team used as part...
Issue 69, May 2, 2008
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NEWS: Medicare costs soar for cancer care
Treating elderly cancer patients for five years costs Medicare $21.1 billion, according to a study... -
NEWS: Dallas doctor to pay $253,000 to feds
A Dallas doctor will pay more than $253,000 after prosecutors accused him of submitting improper... -
HCPro at the NAHAM Conference
HCPro’s editorial team will be at the NAHAM Annual Conference and Exposition Sunday... -
Q&A: Defining a "new patient."
Check out the CMS interpretation for this important billing function. -
What’s new on PARC this week!
CMS is mandating facilities use the new Advance Beneficiary Notice of Noncoverage (ABN) by...
Issue 68, April 25, 2008
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UPDATE: Fiscal year (FY) 2009 Inpatient Prospective Payment System (IPPS) proposed rule posted on CMS Web site
On April 14, a display copy of the FY 2009 IPPS proposed rule was posted on the CMS Web site. -
UPDATE: CMS issues description of its process of assigning providers to Medicare Administrative Contractors (MACs)
On April 18, CMS issued a transmittal describing its process of assigning providers to MACs. -
HCPro at the NAHAM Conference
HCPro’s editorial team will be at the NAHAM Annual Conference and Exposition Sunday, May... -
NEWS: Florida bill seeks to clarify medical services pricing
A bill being considered by the Florida Senate would require pricing information from hospitals for... -
Q&A: HIPAA compliance on claims
Q. Must providers who submit claims electronically comply with HIPAA if they submit claims on paper?
Issue 67, April 18, 2008
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HCPro at the NAHAM Conference
HCPro's editorial team will be at the NAHAM Annual Conference and Exposition in May, and we hope to... -
Take our short survey and be entered to win $100
As a patient access manager, recruitment and retention of quality staff is crucial. What is your... -
QUOTE OF THE WEEK
“I personally see a million things coming across those access people. This is not something... -
NEWS: Florida hospitals cringe at proposed cuts to Medicaid
If proposed Florida budget cuts to Medicaid take effect, patients could face higher hospital bills... -
NEWS: Hospitals missing out on collection opportunities, study finds
Healthcare providers don’t do enough to collect on many payable bills or to provide...
Issue 66, April 11, 2008
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NEWS: CMS issues fiscal year (FY) 2008 Inpatient Prospective Payment System (IPPS) correction notice
On April 1, CMS issued the display copy of a notice correcting certain technical and typographical... -
GOT IDEAS?: PARC needs your help on second-quarter benchmarking report
Need to know how you measure against your colleagues? Want to know if your results are on pace with... -
SURVEY: Enter to win $100 for taking our ED and clinic revenue cycle survey
We’re researching how to meet your needs for managing the ED and clinic revenue cycle, and we... -
NEWS: U.S. Medicare decision on coding postponed
The Centers for Medicare and Medicaid Services will not alter payment rates for plans based on... -
WHO SAID IT: Quote of the week
"The biggest thing we look for is good customer service. When I interview somebody, I’ll...
Issue 65, April 4, 2008
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GOT IDEAS? PARC needs your help with benchmarking reports
Need to know how you measure against your colleagues? Want to know if your results are on pace with... -
NEWS: Majority of U.S. doctors back national insurance plan
A majority of American doctors support the concept of national health insurance, according to a... -
NEWS: Insurers look at virtual visits to doctor
Some doctors, medical information companies, and health insurers are betting that patients are... -
Q&A: Updated definition of "new patient"
Question: What is the updated definition of "new patient" for billing evaluation and management... -
And the winners are...
HCPro's Patient Access Resource Center has selected its winners after its search for access staff...
Issue 64, March 28, 2008
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PARC FEATURE STORY: People skills first
Accuracy, production take a backseat to a smile and a good impression Accomplishing registration... -
FRESH LOOK: HCPro, Inc. launches new logo and tagline as part of its new corporate branding initiative
HCPro, Inc. launches new logo and tagline as part of its new corporate branding initiative. -
NEWS: Outlook remains bleak for Medicare, Social Security
A new report issued by the Bush administration says Medicare's hospital insurance trust fund would... -
NEWS: High costs force third of Americans to skip needed healthcare
One-third of Americans say high costs force them to skip needed medical care, and one-quarter of... -
What's new on PARC this week!
Check out this story that talks about the importance of registration accuracy rates that appeared...
Issue 63, March 21, 2008
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News: St. Louis health system settles lawsuit for uninsured patients
BJC Healthcare, the area's largest healthcare system, will provide a 25% discount to all hospital... -
News: Boston-area health provider predicts big loss
Cambridge (MA) -- Health Alliance is facing a potentially "catastrophic" loss this year and is... -
Q&A: HCPCS code 96116
Learn the answer from CMS.
Issue 62, March 14, 2008
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BREAKING NEWS: Medicare releases changes to ABN
CMS releases new ABN By William Malm, ND, RN In a much anticipated move, CMS released the new... -
NEWS: Hospitals to get $666 million from Medicare settlement
The federal government has reached a $666 million settlement with 667 hospitals that have sued for... -
Q&A: Overlapping claims
Q: When do overlapping claims occur? Learn the answer from CMS. -
PARC CONTEST: Write us about your best access rep or manager
Tell us your story, win a prize from PARC NAHAM's National Healthcare Access Personnel Week is...
Issue 61, March 7, 2008
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BENCHMARKING REPORT: 2008 Self-pay report from PARC
Self-pay patients are a fact of life. Getting them to pay is, too. The Patient Access Resource... -
NEWS: RACs collect $371.5 million in 2007
The Medicare RACs are working overtime. Recovery audit contractors (RACs) in California, Florida... -
NEWS: Medicare proposed rule draws criticism
The Centers for Medicare & Medicaid Services' approach to prevent certain Medicare... -
Q&A: Drugs associated with an NDC
Q. How are unused drugs associated with an NDC that contains several vials to be managed?
Issue 60, February 29, 2008
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NEWS: Private Medicare plans' cost questioned
Although many private Medicare plans advertise extra benefits and low costs, the Government... -
NEWS: As medical costs grow, creditors get in the game
Hospitals in the Tampa Bay, FL, area are approaching any bill-paying changes cautiously for fear of... -
Q&A: Condition Code 44
Q: If the hospital complies with the requirement for written notification within two days of the...
Issue 59, February 22, 2008
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U.S. deemed unready for health crisis
The nation’s cities and states have made a strong effort to prepare for emergency health... -
Paying patients test British healthcare system
The National Health Service was created 60 years ago as a cornerstone of the British welfare state... -
Billing for a multi-disciplinary clinic
Learn the answer from our insiders at justcoding.com.
Issue 58, February 15, 2008
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Proposed Bush budget cuts would hit hospitals hard, administrators say
The federal government is proposing cuts to the Medicare and Medicaid programs, so now hospital... -
Higher Medicaid fees can't fix pay gaps, say Georgia doctors
Georgia Gov. Sonny Perdue’s proposed budget for fiscal 2009 would increase the fees that the... -
Higher Medicaid fees can't fix pay gaps, say Georgia doctors
Georgia Gov. Sonny Perdue’s proposed budget for fiscal 2009 would increase the fees that the... -
Core-Based Statistical Area (CBSA) reporting
Learn the answer from CMS.
Issue 57, February 8, 2008
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Bush’s budget sparks more debate
President Bush released his 2009 budget, and the healthcare debate is hardly over. Lawmakers... -
Proposals urging free choice of medical providers stir debate
A Utah senator is pushing bills that he claims would help lower the cost of healthcare and make it...
Issue 56, February 1, 2008
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Bush seeks surplus via Medicare cuts
In his new budget, President Bush will call for large cuts in the growth of Medicare, far exceeding... -
Healthcare financing fraud trial nears
Six years after the collapse of the country's biggest health care finance company, a trial is... -
Billing for CPT code 93230
Learn the answer from Glenn Krauss, RHIA, CCS, CCS-P, CPUR, an independent consultant in Maryville...
Issue 55, January 25, 2008
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MA will pay for its health insurance initiative
Massachusetts became the first state to ensure every resident is covered by health insurance this... -
Medicare fraud nets healthcare providers jail time
Medicare fraud in the Miami-Dade County is not paying dividends for some healthcare providers. -
What's new on PARC this week!
Find a training tool that will help your patient access staff.
Issue 54, January 18, 2008
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CMS issues updated data files for determining disproportionate share hospital (DSH) payments
On December 27, CMS issued a transmittal announcing the release of updated data files containing... -
Appeal could boost Pennsylvania hospitals' reimbursement from Medicare
Pittsburgh-area hospitals, doctors and many home healthcare providers could see a bump in... -
Ambulatory Surgical Center (ASC) payment system
Learn the answer from CMS. -
Enter to win $100 for taking our self-pay survey
As a Patient Access manager, working with self-pay patients is a fact of life. How many self-pay...
Issue 53, January 11, 2008
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National healthcare spending soars to record high
More drugs. More money. Medicare spending grew at its fastest pace since 1981, according to a... -
Medicare extends reimbursements
Healthcare officials looking for reimbursement on brachytherapy seeds administered in a hospital...
Issue 52, January 4, 2008
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Investigation into WellCare limited to Florida
The government's investigation into healthcare insurance giant WellCare Health Plans Inc. is... -
Medicaid payments triple
Seeing more children is paying off for doctors. For the first time, New Jersey doctors are... -
National Uniform Billing Committee’s review
See the answer from CMS.